RR-PO-2314

Tuesday 10:00, Palau de Congressos, Exhibition Hall  [Display No. 668]

KINESITHERAPEUTIC PROGRAM FOR THE TREATMENT OF THE FIBROMYALGIA SYNDROME. Kovacheva E, Trichkov VI*, Dimitrova E**; The "Lozenets Hospital", *Sports-Health Complex "Lozeneta", **Department of Kinesitherapy, National Sports Academy, Sofia, Bulgaria. PURPOSE: The aim of our study was to experiment on and to substantiate by scientific methods the effectiveness of a long-term intensive kinesitherapeutic program for the treatment of the fibromyalgia syndrome. RELEVANCE: This study provides practical information for management of this condition. SUBJECTS: The trial included 30 people, shared out in two groups. Group A included 20 patients with fibromyalgia (18 women and 2 men) in the phase of subacute widely spread pain with concomitant acute pain syndrome, localized in the neck, shoulders and in the presence of headache and Group B – 10 people, healthy with respect to the fibromyalgia syndrome. MATERIAL AND METHODS: The patients carried out daily kinesitherapeutic procedures and the every next day the first and the second combination of means respectively was alternated with each other consecutively. The first combination included relaxation massage of the back, the neck, the head and the face with cocktail of essential oils; local myofascial pain allaying and relaxation technique for the treatment of the cervical syndrome; laser-therapy; Jacuzzi or under-water aroma-jet massage. The second combination included a complex of isotonic exercises on fitness apparatuses and relaxant exercises of Fitball; remedial swimming (29-30°C). The duration of the rehabilitation course was minimum 8 weeks. ANALYSIS: For statistical tilling of the results we applied the method of the variation analysis. RESULTS: Before the treatment we reported a positive test of Campbellin in 100% of the patients from group A, which confirmed the presence of the fibromyalgia syndrome. After the treatment the local syndrome was affected in 87% of the patients from group A, as the the pain in TeP (tender points) decreased at an average of 4.2 (p<0.05) and resembled the data reported in group B – clinically healthy people. By the metrologic index for mobility of the spinal column we reported significant increasing of the mobility at the average of ∆ X=2.5 cm (p<0.05). After the conducted treatment we reported also a statistically proved increasing of the endurance of the back and abdominal muscles (an average of X > 60 sec.) We did not find any statistical differences among the data of the trial at the end of the treatment of the patients from group A and group B. The comparison of the results with the rates by literary data of the relevant tests also confirmed the normalizing of the examined indices in the patients from group A. CONCLUSION: The applied intensive, long-term kinesitherapeutic program achieved effectiveness as regards the treatment of pain – the local cervical syndrome and the widely spread pain. The reducing of the pain and normalizing of the functional indices provided the restoration of the ability to work and the resocialization of the patients with fibromyalgia.